To investigate the safety and feasibility of combined minimally invasive incision and laparoscopy for the treatment of congenital heart disease (CHD) with extracardiac anomalies.

Twenty-four cases of CHD with extracardiac anomalies treated with combined minimally invasive incision and laparoscopy (minimally invasive group) and 24 cases of simple CHD matched for age, weight, cardiac malformation, surgical approach, cardiac function, and ASA classification (simple CHD group) were selected from Nov. 2015 to Apr. 2023 at the Affiliated Children′s Hospital of Capital Institute of Pediatrics. Clinical indicators during and after surgery were statistically analyzed for differences between the two groups of patients.

Minimally invasive combined surgeries were successfully performed on the group of patients, and there were no significant postoperative complications. Both groups of patients were successfully cured and discharged from the hospital. The anesthesia time and operation time in the minimally invasive group were significantly prolonged compared to the simple CHD group, with statistical significance (P<0.05). However, there were no significant differences in extracorporeal circulation time, aortic cross-clamp time, intraoperative blood loss, postoperative endotracheal intubation time, CICU time, length of hospital stay, anesthesia costs, surgical costs, and hospitalization costs (P>0.05). In the comparison of early postoperative hemodynamic indicators between the minimally invasive group and the simple CHD group, CCE at 8 hours postoperatively was significantly higher in the minimally invasive group (P<0.05), while there were no statistically significant differences in CCE at other time points. There were no significant differences in CI, dp/dt, Glu, Lac, and IS indicators between the two groups at 0, 4, 8, 12, 16, 20, and 24 hours postoperatively (P>0.05).

Combined minimally invasive incision and laparoscopy for the treatment of CHD with extracardiac anomalies is safe and feasible, and it has the advantage of aesthetic incisions, which is worthy of clinical promotion.